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Oncologic Emergencies: Recognition and Initial Management - American Family Physician

Jun 1, 2018 - Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0601/p741.html

Colorectal Cancer Screening and Surveillance - American Family Physician

Jan 15, 2015 - Colorectal cancer is the third most common cancer in men and women. The incidence and mortality rate of the disease have been declining over the past two decades because of early detection and treatment. Screening in persons at average risk should begin at 50 years of age; the U.S. ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0115/p93.html

Primary Care of Breast Cancer Survivors - American Family Physician

Mar 15, 2019 - With declining mortality rates, the number of breast cancer survivors is increasing. Ongoing care after breast cancer treatment is often provided by primary care physicians. This care includes surveillance for cancer recurrence with a history and physical examination every three to six ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0315/p370.html

Cervical Cancer: Evaluation and Management - American Family Physician

Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p449.html

Localized Prostate Cancer: Treatment Options - American Family Physician

Jun 15, 2018 - In the United States, prostate cancer will be diagnosed in one out of seven men in his lifetime. Most cases are localized, and only one in 39 men will die from the disease. Prostate cancer is most often detected using serum prostate-specific antigen testing. The National Comprehensive ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p798.html

Primary Care of the Prostate Cancer Survivor - American Family Physician

May 1, 2016 - This summary of the American Cancer Society Prostate Cancer Survivorship Care Guidelines targets primary care physicians who coordinate care of prostate cancer survivors with subspecialists. Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p764.html

Surveillance of the Adult Cancer Survivor - American Family Physician

Jan 1, 2015 - The term cancer survivor refers to anyone living with a diagnosis of cancer. As the U.S. population ages, cancer screening increases, and cancer treatments improve, millions more Americans will be classified as cancer survivors in the future. Although many survivors wish to continue ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0101/p29.html

Gynecologic Procedures: Colposcopy, Treatments of Cervical Intraepithelial Neoplasia, ...

Jun 15, 2013 - Women who have abnormal Papanicolaou test results may undergo colposcopy to determine the biopsy site for histologic evaluation. Traditional grading systems do not accurately assess lesion severity because colposcopic impression alone is unreliable for diagnosis. The likelihood of ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0615/p836.html

Managing the Adverse Effects of Radiation Therapy - American Family Physician

Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p381.html

Treatment Options for Localized Prostate Cancer - American Family Physician

Aug 15, 2011 - In the United States, more than 90 percent of prostate cancers are detected by serum prostate-specific antigen testing. Most patients are found to have localized prostate cancer, and most of these patients undergo surgery or radiotherapy. However, many patients have low-risk cancer and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p413.html

Treatment of Breast Cancer - American Family Physician

Jun 1, 2010 - Understanding breast cancer treatment options can help family physicians care for their patients during and after cancer treatment. This article reviews typical treatments based on stage, histology, and biomarkers. Lobular carcinoma in situ does not require treatment. Ductal carcinoma ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1339.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

Recent Advances in Radiation Therapy - American Family Physician

Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1254.html

Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer ...

Feb 15, 2018 - Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od4.html

Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection - American ...

Apr 1, 2008 - This article describes a joint update of guidelines by the American Cancer Society and the U.S. Multi-Society Task Force on Colorectal Cancer delineating evidence-based surveillance recommendations for patients after polypectomy and colorectal cancer resection. Although there are some ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p995.html

Targeted Therapies: A New Generation of Cancer Treatments - American Family Physician

Feb 1, 2008 - Targeted therapies, which include monoclonal antibodies and small molecule inhibitors, have significantly changed the treatment of cancer over the past 10 years. These drugs are now a component of therapy for many common malignancies, including breast, colorectal, lung, and pancreatic ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0201/p311.html

Yoga for Cancer-Related Symptoms in Women with Breast Cancer - Cochrane for Clinicians ...

Oct 1, 2017 - Yoga improves health-related quality of life, reduces sleep disturbances, and decreases fatigue in the short term (up to 12 weeks) among women diagnosed with breast cancer who have completed cancer-related treatment or are receiving cancer treatment compared with no intervention.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/1001/p434.html

Active Surveillance for Localized Prostate Cancer: No Increased Mortality, but Higher ...

Feb 1, 2017 - This landmark study compared active surveillance with radical prostatectomy or radiation therapy for patients with T1c or T2 prostate cancer. The benefits of active surveillance include avoiding radical therapy in one-half of the patients, with no effect on disease-specific survival or ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0201/p196.html

Treatment of Oncologic Emergencies - American Family Physician

Dec 1, 2006 - Most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. The condition is treated with allopurinol or urate oxidase to ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1873.html

Management of Histologic Abnormalities of the Cervix - American Family Physician

Jan 1, 2006 - The American Society for Colposcopy and Cervical Pathology sponsored a consensus conference in 2001 to develop evidence-based guidelines for women with histologic abnormalities of the cervix. The options for management of cervical intraepithelial neoplasia 1, 2, and 3 are ranked ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p105.html

Treatment Options for Prostate Cancer: Evaluating the Evidence - American Family Physician

May 15, 2005 - Controversy surrounds the management options for localized prostate cancer-conservative management, prostatectomy, and radiation. Choosing among these options is difficult because of long-term side effects that include sexual, urinary, and bowel dysfunction. Some recent studies suggest ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1915.html

Management of Cervical Cytologic Abnormalities - American Family Physician

Nov 15, 2004 - The American Society for Colposcopy and Cervical Pathology developed guidelines in 2001 for the management of cervical cytologic abnormalities. The guidelines incorporate the Bethesda System 2001 terminology and data from randomized studies of atypical squamous cells, low-grade ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1905.html

No Increased Survival Benefit to Intensive Follow-Up After Colorectal Cancer Surgery - ...

May 1, 2014 - Compared with minimal follow-up after surgery for colorectal cancer, intensive follow-up with regular computed tomography (CT), carcinoembryonic antigen (CEA) testing, or both results in more patients undergoing repeat surgery but no reduction in overall mortality or disease-specific ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0501/p752.html

Pioglitazone Exposure Increases Bladder Cancer Risk - POEMs - American Family Physician

Jan 15, 2014 - This review of all available data found a significantly increased risk of bladder cancer among adults with type 2 diabetes treated with pioglitazone. Pioglitazone also significantly increases the risk of heart failure, and there is minimal, if any, patient-oriented evidence of benefit ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0115/p136.html

Finasteride Prevents Low-Grade Prostate Cancers, but Does Not Reduce Mortality - POEMs ...

Dec 1, 2013 - Although finasteride prevents low-grade prostate tumors, it does not affect overall survival or survival after prostate cancer diagnosis. Although high-grade cancers were more common among men taking finasteride, up to 18 years of follow-up failed to show increased mortality in this group.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/p744.html

Sexual, Urinary, and Bowel Dysfunction Common After Treatment for Localized Prostate ...

Nov 1, 2013 - Patients undergoing surgery had worse urinary and sexual outcomes, whereas those undergoing external beam radiation therapy (EBRT) had worse bowel symptoms. Watchful waiting (active surveillance) was not the subject of this study, but given the problems associated with therapy, active ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/p609.html

Cervical Cancer - Clinical Evidence Handbook - American Family Physician

Jun 15, 2012 - What are the effects of interventions to prevent cervical cancer? What are the effects of interventions to manage early-stage cervical cancer? What are the effects of additional interventions to manage bulky early-stage cervical cancer?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0615/p1186.html

Interventional Radiology in Cancer Patients - American Family Physician

Jul 1, 2000 - Procedures performed by an interventional radiology specialist are becoming increasingly important in the management of patients with cancer. Although general interventional radiology procedures such as angiography and angioplasty are used in patients with and without cancer, certain ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p95.html

Exercise for the Management of Cancer-Related Fatigue - Cochrane for Clinicians - ...

Oct 1, 2009 - Aerobic and resistance-training exercise programs lead to decreased overall fatigue and an improved quality of life during and after treatment of cancer.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1001/p689.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jul 1, 2009 - Although LMWH appears to be more effective than oral anticoagulants in the prevention of recurrent VTE, this does not translate into a survival benefit. LMWH and oral anticoagulants have the same reported adverse events of bleeding and thrombocytopenia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p30.html

Life Beyond Breast Cancer - Editorials - American Family Physician

Jun 1, 2010 - Advertisement << Previous article Next article >> Jun 1, 2010 Issue Editorials Life Beyond Breast Cancer AMBER L. ISLEY, MD, Jacksonville, Florida. DAWN MUSSALLEM-BUSS, MD, Mayo Clinic, Jacksonville, Florida. Am Fam Physician. 2010 Jun 1;81(11):1330-1332. Related Article As family...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0601/p1330.html

Basal Cell Carcinoma - Clinical Evidence Handbook - American Family Physician

Jul 15, 2008 - What are the effects of interventions on treatment response and recurrence (within one year of therapy) and long-term recurrence (a minimum of two years after treatment) in persons with basal cell carcinoma?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0715/p248.html

ACOG Releases Guidelines for Managing Abnormal Cervical Cytology and Histology in ...

Oct 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has developed new guidelines for the management of abnormal cervical cytology and histology. Because management in some instances differs for adolescent patients, ACOG also created guidelines specific to this population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1015/p1431.html

Practice Guidelines - Jun 1, 2007 - American Family Physician

Jun 1, 2007 - Revised guidelines from the Centers for Disease Control and Prevention (CDC) state that fluoroquinolone antibiotics are no longer recommended for treatment of gonococcal infections and associated conditions such as pelvic inflammatory disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0601/p1715.html

Practice Guidelines - Jun 1, 2007 - American Family Physician

Jun 1, 2007 - According to new guidelines from the American Cancer Society (ACS), women at high risk of developing breast cancer should receive annual magnetic resonance imaging (MRI) as an adjunct to mammography.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0601/p1715a.html

When Is the Right Time to Repeat Colonoscopy? - Editorials - American Family Physician

Apr 1, 2008 - Advertisement << Previous article Next article >> Apr 1, 2008 Issue Editorials When Is the Right Time to Repeat Colonoscopy? VIKRAM BOOLCHAND, MD, University of Arizona College of Medicine Tucson, Arizona Am Fam Physician. 2008 Apr 1;77(7):924-926. Related Article Post-polypectomy...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0401/p924.html

Opioids for Management of Breakthrough Pain in Cancer Patients - Cochrane for ...

Dec 1, 2006 - Oral transmucosal fentanyl citrate (OTFC [Actiq]), a rapid-acting opioid, has been shown to be an effective treatment for breakthrough cancer pain. Other opioids, including immediate-release oral morphine (MSIR), also may be effective; however, evidence comparing these agents with OTFC ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1201/p1855.html

ACOG Releases Guidelines for Management of Endometrial Cancer - Practice Guidelines - ...

Aug 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for the management of endometrial cancer. Endometrial carcinoma is a common gynecologic malignancy that many physicians encounter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0801/p504.html

The Era of Targeted Therapies - Editorials - American Family Physician

Feb 1, 2008 - Advertisement << Previous article Next article >> Feb 1, 2008 Issue Editorials The Era of Targeted Therapies MARGARET OFFERMANN, MD, PhD, American Cancer Society, Atlanta, Georgia Am Fam Physician. 2008 Feb 1;77(3):294-296. Related Article Cancer has long been recognized as a...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0201/p294.html

Predicting the Risk of Recurrence After Surgery for Prostate Cancer - Point-of-Care ...

Dec 15, 2005 - A previous Point-of-Care Guide identified a clinical decision rule that estimates the likelihood of an abnormal biopsy for prostate cancer. One of the next questions facing the patient and his physician is the likelihood of recurrence after surgery.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/1215/p2511.html

NSAIDs Alone or with Opioids as Therapy for Cancer Pain - Cochrane for Clinicians - ...

Aug 1, 2005 - Short-term trials indicate that cancer pain can be reduced with the use of nonsteroidal anti-inflammatory drugs (NSAIDs) as initial monotherapy. NSAIDs combined with opioids can result in slight short-term improvement in pain compared with either agent alone. Long-term efficacy and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0801/p436.html

Follow-up After Surgically Treated Breast Cancer - Cochrane for Clinicians - American ...

Jul 1, 2005 - The best available evidence supports clinical breast examinations every three to six months for five years and annual mammography for asymptomatic breast cancer survivors. More intensive follow-up and subspecialist visits do not improve survival.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0701/p77.html

Cochrane for Clinicians - Dec 1, 2004 - American Family Physician

Dec 1, 2004 - Combined evidence from two clinical trials of calcium supplementation lasting for several years revealed a reduced rate of recurrent colorectal adenoma. However, evidence is insufficient to recommend supplementation with dietary calcium for patients who have never had an adenoma.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/1201/p2109.html

ACS Releases Guidelines on Nutrition and Physical Activity During and After Cancer ...

Apr 1, 2004 - The American Cancer Society (ACS) issued a report discussing optimal nutrition and physical activity issues during the phases of cancer treatment and recovery, living after recovery from treatment, and living with advanced cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0401/p1803.html

The Liability of Giving Patients a Choice: Shared Decision Making and Prostate Cancer -...

May 15, 2005 - Advertisement << Previous article Next article >> May 15, 2005 Issue Editorials The Liability of Giving Patients a Choice: Shared Decision Making and Prostate Cancer STEVEN H. WOOLF, M.D., M.P.H., and ALEX KRIST, M.D., Virginia Commonwealth University School of Medicine Richmond,...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0515/p1871.html

Practice Guidelines - Apr 15, 2005 - American Family Physician

Apr 15, 2005 - Advertisement << Previous article Next article >> Apr 15, 2005 Issue Practice Guideline Briefs MATTHEW J. NEFF Am Fam Physician. 2005 Apr 15;71(8):1612. Improving the Quality of Care for Adults with Type 2 Diabetes Mellitus The Agency for Healthcare Research and Quality (AHRQ) of the...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0415/p1612.html

The 2001 ASCCP Management Guidelines for Cervical Cytology - Editorials - American ...

Nov 15, 2004 - Advertisement << Previous article Next article >> Nov 15, 2004 Issue Editorials The 2001 ASCCP Management Guidelines for Cervical Cytology DARON G. FERRIS, M.D., Medical College of Georgia, Augusta, Georgia Am Fam Physician. 2004 Nov 15;70(10):1866-1868. Related Article Shortly...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1115/p1866.html

NIH Statement on Adjuvant Therapy for Breast Cancer - Practice Guidelines - American ...

May 1, 2001 - The National Institutes of Health (NIH) has released a statement on adjuvant therapy for breast cancer. Adjuvant therapies administered after surgery eradicate deposits of cancer cells that may have spread from the primary cancer site, and such therapies increase a woman's chance of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0501/p1857.html

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